UWSA 2 COMPREHENSIVE EXAM UPDATED QUESTIONS
AND ANSWERS RATED A+
✔✔sxs that can be used to reliably dx cancer pt MDD? - ✔✔anhedonia
worthlessness
guilt
loss of self esteem
SI
✔✔you chose reduce her pain meds to cut back fatigue; but this was wrong as
assessing for depression is more important cause it can improve quality of life - ✔✔
✔✔16 year old wants contraception; her period last 7-8 days and are heavy and she
takes iron for anemia; what contraception is contraindicated? - ✔✔copper IUD
✔✔what do levonorgestrol IUD do to contraception bleeding? - ✔✔reduce bleeding
✔✔Is breast cancer a contraindication to levonorgestrol IUD? - ✔✔yes
✔✔how long can a copper IUD be used? - ✔✔10 years
✔✔what do you need to check before giving an IUD? - ✔✔acute pelvic infection - is a
contraindication for both
✔✔menstrual history was the contraindication to copper - ✔✔
✔✔kid is obviously presenting with mastoiditis; what is your next step? - ✔✔start IV abx
(chosen over plain radiographs)
✔✔most common cause of mastoiditis? - ✔✔s pneumo
✔✔is mastoiditis a clinical dx usually? - ✔✔yes, not needed unless complications
suspected or dx unclear
✔✔imaging for mastoiditis? - ✔✔CT or MRI (not radiographs)
✔✔what is part of treatment REQUIRED for mastoiditis besides abx? - ✔✔drainage
✔✔mild mastoiditis drainage? - ✔✔tympanostomy tubes
✔✔mastoiditis is a SURGICAL issue and the most feared AOM complicaiton - ✔✔
,✔✔does predominately positive schizophrenia symptoms have a positive or negative
prognosisi? - ✔✔positive sxs positive prognosis
✔✔is older or younger age onset better for schizophernia? - ✔✔older is better
✔✔do men or women have better schizophrenia prognosis? - ✔✔women
✔✔is abrupt or gradual schizophrenia onset better prognosis? - ✔✔abrupt is better
✔✔lady has increased ejection fraction 60% left ventricle thickening, bp 165/70; S3;
crackles, and pulm artery pressure of 50; what is dx? - ✔✔left heart failure diastolic
dysfunction d/t htn
✔✔where is the S3 in pulm htn? - ✔✔right sided - threw you off
✔✔which pulm htn types are due to pulm ARTERIAL htn? - ✔✔1
✔✔what causes pulm HTN big picture for groups 2-5? - ✔✔"pulm VENOUS htn" was
the answer
✔✔what causes type 2 pulm HTN? - ✔✔left sided heart disease
✔✔you just messed up here cause you didnt read pulm VENOUS htn right - ✔✔
✔✔what is dx for TEE finding of left atrial enlargement, concentric LVH and LVEF >65%
tell you? - ✔✔diastolic HF
✔✔what group of pulm HTN does connective tissue cause? - ✔✔type 1
✔✔SLE, RA, scerloris are all what type of pulm HTN? - ✔✔1
✔✔34 year old is 1 week post op for c section; she had a dvt in pregnancy and is on
lmwh; she has red tinged drainage from middle incision; there is serosanginous
discharge from 5 mm opening left of midline; swab can be inserted to depth of 3 cm;
what is dx? - ✔✔incisional hematoma
✔✔what are risks for incisional hematoma? - ✔✔obesity
hypocoagulabitly
✔✔what is serosanguionous drainage and pain near incision concerning for? -
✔✔incisional hematoma
, ✔✔treatment for incisional hematoma? - ✔✔opening them back up, draining the clot,
and acheiving hemostasis and closing up
✔✔what is popping sensation from a wound post op with a bulge concerning for? -
✔✔fascial dehiscence (3 cm probe stopped at the intact fascia)
✔✔52 year old female comes in with low libido and wishes she wanted to have more
sex; what is dx? - ✔✔female sexual interest/arousal disorder
✔✔what is female sexual interest/arousal disorder? - ✔✔symptom of either decreased
interest or arousal with sex
✔✔is female sexual interest/arousal disorder normal aging? - ✔✔no
✔✔lady had hip replacement and is post op; when should urinary catheter be removed?
- ✔✔within 48 hrs
✔✔removal of urinary catheter by when reduces post op infection risk? - ✔✔by 24-48
hrs
✔✔is low dose aspriin used for DVT prophylaxis? - ✔✔no, must be high dose 325
✔✔lady had hgb of 8.6 post op and no chest pain or dyspnea, do you transfuse? -
✔✔no - threshold is 7
✔✔does removal of catheter increase post op urinary retention risk? - ✔✔no
✔✔does removal of catheter reduce mortality? - ✔✔yes
✔✔lady comes in with 10 days of pelvic pressure and heavy bleeding; she is 6 months
post spontaneous abortion; you find a friable bleeding vaginal mass in the posterior
fornix; the uterus is enlarged; waht is the dx? - ✔✔choriocarcinoma...
✔✔where does choriocarcinoma most commonly metastasize? - ✔✔lungs and vagina
✔✔when can you see a fibroid in the vagina? - ✔✔only if its prolapsed through; not
gonna be a mass on the posterior fornix
✔✔work quickly but you have to check your labs; elderly pt was lethargic; had been
drinking lots of water; you chose excess intake as cause of hypoNa; GLUCOSE WAS
900; HHNK - ✔✔
✔✔what is hypoNa from glucose called? - ✔✔translocational hypoNa
AND ANSWERS RATED A+
✔✔sxs that can be used to reliably dx cancer pt MDD? - ✔✔anhedonia
worthlessness
guilt
loss of self esteem
SI
✔✔you chose reduce her pain meds to cut back fatigue; but this was wrong as
assessing for depression is more important cause it can improve quality of life - ✔✔
✔✔16 year old wants contraception; her period last 7-8 days and are heavy and she
takes iron for anemia; what contraception is contraindicated? - ✔✔copper IUD
✔✔what do levonorgestrol IUD do to contraception bleeding? - ✔✔reduce bleeding
✔✔Is breast cancer a contraindication to levonorgestrol IUD? - ✔✔yes
✔✔how long can a copper IUD be used? - ✔✔10 years
✔✔what do you need to check before giving an IUD? - ✔✔acute pelvic infection - is a
contraindication for both
✔✔menstrual history was the contraindication to copper - ✔✔
✔✔kid is obviously presenting with mastoiditis; what is your next step? - ✔✔start IV abx
(chosen over plain radiographs)
✔✔most common cause of mastoiditis? - ✔✔s pneumo
✔✔is mastoiditis a clinical dx usually? - ✔✔yes, not needed unless complications
suspected or dx unclear
✔✔imaging for mastoiditis? - ✔✔CT or MRI (not radiographs)
✔✔what is part of treatment REQUIRED for mastoiditis besides abx? - ✔✔drainage
✔✔mild mastoiditis drainage? - ✔✔tympanostomy tubes
✔✔mastoiditis is a SURGICAL issue and the most feared AOM complicaiton - ✔✔
,✔✔does predominately positive schizophrenia symptoms have a positive or negative
prognosisi? - ✔✔positive sxs positive prognosis
✔✔is older or younger age onset better for schizophernia? - ✔✔older is better
✔✔do men or women have better schizophrenia prognosis? - ✔✔women
✔✔is abrupt or gradual schizophrenia onset better prognosis? - ✔✔abrupt is better
✔✔lady has increased ejection fraction 60% left ventricle thickening, bp 165/70; S3;
crackles, and pulm artery pressure of 50; what is dx? - ✔✔left heart failure diastolic
dysfunction d/t htn
✔✔where is the S3 in pulm htn? - ✔✔right sided - threw you off
✔✔which pulm htn types are due to pulm ARTERIAL htn? - ✔✔1
✔✔what causes pulm HTN big picture for groups 2-5? - ✔✔"pulm VENOUS htn" was
the answer
✔✔what causes type 2 pulm HTN? - ✔✔left sided heart disease
✔✔you just messed up here cause you didnt read pulm VENOUS htn right - ✔✔
✔✔what is dx for TEE finding of left atrial enlargement, concentric LVH and LVEF >65%
tell you? - ✔✔diastolic HF
✔✔what group of pulm HTN does connective tissue cause? - ✔✔type 1
✔✔SLE, RA, scerloris are all what type of pulm HTN? - ✔✔1
✔✔34 year old is 1 week post op for c section; she had a dvt in pregnancy and is on
lmwh; she has red tinged drainage from middle incision; there is serosanginous
discharge from 5 mm opening left of midline; swab can be inserted to depth of 3 cm;
what is dx? - ✔✔incisional hematoma
✔✔what are risks for incisional hematoma? - ✔✔obesity
hypocoagulabitly
✔✔what is serosanguionous drainage and pain near incision concerning for? -
✔✔incisional hematoma
, ✔✔treatment for incisional hematoma? - ✔✔opening them back up, draining the clot,
and acheiving hemostasis and closing up
✔✔what is popping sensation from a wound post op with a bulge concerning for? -
✔✔fascial dehiscence (3 cm probe stopped at the intact fascia)
✔✔52 year old female comes in with low libido and wishes she wanted to have more
sex; what is dx? - ✔✔female sexual interest/arousal disorder
✔✔what is female sexual interest/arousal disorder? - ✔✔symptom of either decreased
interest or arousal with sex
✔✔is female sexual interest/arousal disorder normal aging? - ✔✔no
✔✔lady had hip replacement and is post op; when should urinary catheter be removed?
- ✔✔within 48 hrs
✔✔removal of urinary catheter by when reduces post op infection risk? - ✔✔by 24-48
hrs
✔✔is low dose aspriin used for DVT prophylaxis? - ✔✔no, must be high dose 325
✔✔lady had hgb of 8.6 post op and no chest pain or dyspnea, do you transfuse? -
✔✔no - threshold is 7
✔✔does removal of catheter increase post op urinary retention risk? - ✔✔no
✔✔does removal of catheter reduce mortality? - ✔✔yes
✔✔lady comes in with 10 days of pelvic pressure and heavy bleeding; she is 6 months
post spontaneous abortion; you find a friable bleeding vaginal mass in the posterior
fornix; the uterus is enlarged; waht is the dx? - ✔✔choriocarcinoma...
✔✔where does choriocarcinoma most commonly metastasize? - ✔✔lungs and vagina
✔✔when can you see a fibroid in the vagina? - ✔✔only if its prolapsed through; not
gonna be a mass on the posterior fornix
✔✔work quickly but you have to check your labs; elderly pt was lethargic; had been
drinking lots of water; you chose excess intake as cause of hypoNa; GLUCOSE WAS
900; HHNK - ✔✔
✔✔what is hypoNa from glucose called? - ✔✔translocational hypoNa
